Central Provident Fund (Private Medical Insurance Scheme) Regulations

Central Provident Fund Act

(CHAPTER 36, Section 77(1)(k))

Central Provident Fund (Private Medical
Insurance Scheme) Regulations

Rg 26

G.N. No. S 17/1995

REVISED EDITION 1998

(1st January 1998)

[1st July 1994]

Citation

1. These Regulations may be cited as the Central Provident Fund (Private Medical Insurance Scheme) Regulations.

Definitions

2. In these Regulations, unless the context otherwise requires —

“dependant”, in relation to a member, means —

(a)	a member’s spouse, child, parent or grandparent; or
(b)	any other person who is dependent on the member and whom the Board may approve for the purpose of these Regulations;

“insurer” means any insurer which is registered under the Insurance Act (Cap. 142);

“MediShield Scheme” means the MediShield Scheme established and maintained by the Board under section 53 of the Act;

“member” includes a member who is an undischarged bankrupt;

“premium” means any premium payable under a private medical insurance policy and includes any goods and services tax thereon;

“private medical insurance policy” means a private medical insurance policy which is approved by the Minister for Health for the purposes of these Regulations;

“Scheme” means the Private Medical Insurance Scheme established and maintained by the Board for the purposes of these Regulations.

Application to withdraw moneys for purchase of IncomeShield

3.—(1) A member who wishes to use the whole or part of the available amount in his medisave account to purchase a private medical insurance policy provided by NTUC Income Insurance Co-operative Limited known as IncomeShield for himself or his dependant under the Scheme may apply to the Board for the withdrawal of the amount.

(2) The amount that may be withdrawn under paragraph (1) shall not exceed a sum of $660 per year per person insured.

Application to withdraw moneys for purchase of Managed Healthcare System

4.—(1) Subject to paragraph (2), a member who wishes to use the whole or part of the available amount in his medisave account to purchase a private medical insurance policy provided by NTUC Income Insurance Co-operative Limited known as Managed Healthcare System for himself or his dependant under the Scheme may apply to the Board for the withdrawal of the amount.

(2) The amount that may be withdrawn under paragraph (1) per person insured shall not exceed —

(a)	in the case of a person aged 30 years and below, a sum of $90 per year.
(b)	in the case of a person aged 31 to 40 years, a sum of $135 per year;
(c)	in the case of a person aged 41 to 50 years, a sum of $270 per year;
(d)	in the case of a person aged 51 to 60 years, a sum of $450 per year;
(e)	in the case of a person aged 61 years and above, a sum of $660 per year;
(f)	80% of the amount of premium payable by the member for himself or his dependant, respectively, under the policy referred to in paragraph (1); or
(g)	the total credit balance in the member’s medisave account,

whichever is the lowest.

Further conditions of application

5.—(1) The amount withdrawn from the member’s medisave account pursuant to an application made by him under regulation 3 or 4 shall be forwarded to the insurer in payment of the premiums payable by the member or his dependant under the private medical insurance policy.

(2) Every application under regulation 3 or 4 shall be —

(a)	made in such form and in accordance with such procedure as the Board may require; and
(b)	supported by such documents or evidence as the Board may require.

(3) The Board may approve the application subject to such terms and conditions as the Board may think fit to impose.

(4) No member or his dependant shall be insured —

(a)	under more than one private medical insurance policy under the Scheme; or
(b)	concurrently under the MediShield Scheme and a private medical insurance policy under these Regulations.

Payment of premiums

6.—(1) Any premium payable by a member or his dependant under the private medical insurance policy taken out under the Scheme shall be paid from the moneys standing to the credit of the member in the Fund in his medisave account at the time when the insurer notifies the Board that the payment of such premium is due.

(2) If the amount standing to the member’s credit in his medisave account is insufficient to pay the premium which he or his dependant is liable to pay under the private medical insurance policy taken out under the Scheme, the insurer shall determine whether the member or his dependant, as the case may be, may continue to be insured under the policy, but the continuance of the insurance shall be subject to such terms and conditions as the Board may impose.

MediShield Scheme

7. A person who is already insured under the MediShield Scheme shall be deemed to have opted out of that Scheme once he is insured under a private medical insurance policy under these Regulations, and the provisions of the Central Provident Fund (MediShield Scheme) Regulations (Rg 20) as are applicable to a person who has opted out of the MediShield Scheme shall thereupon become applicable to him.

(1) A person who is already insured under the MediShield Scheme shall be deemed to have opted out of that Scheme once he is insured under a private medical insurance policy under these Regulations, and the provisions of the Central Provident Fund (MediShield Scheme) Regulations (Rg 20) as are applicable to a person who has opted out of the MediShield Scheme shall thereupon become applicable to him.

Breach of Regulations

8. If a member who has taken out a private medical insurance policy under the Scheme is in breach of any of these Regulations or if for any purpose connected with these Regulations he makes a false representation to the Board or furnishes the Board with any false information, the Board may require the member to refund to his medisave account all moneys withdrawn by him therefrom under these Regulations together with interest that would have accrued thereto if the withdrawal had not been made.

[G.N. Nos. S 17/95; S 354/95; S 298/97]

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